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American Journal of Human Genetics logoLink to American Journal of Human Genetics
. 1998 Nov;63(5):1411–1418. doi: 10.1086/302113

Autosomal dominant nanophthalmos (NNO1) with high hyperopia and angle-closure glaucoma maps to chromosome 11.

M I Othman 1, S A Sullivan 1, G L Skuta 1, D A Cockrell 1, H M Stringham 1, C A Downs 1, A Fornés 1, A Mick 1, M Boehnke 1, D Vollrath 1, J E Richards 1
PMCID: PMC1377551  PMID: 9792868

Abstract

Nanophthalmos is an uncommon developmental ocular disorder characterized by a small eye, as indicated by short axial length, high hyperopia (severe farsightedness), high lens/eye volume ratio, and a high incidence of angle-closure glaucoma. We performed clinical and genetic evaluations of members of a large family in which nanophthalmos is transmitted in an autosomal dominant manner. Ocular examinations of 22 affected family members revealed high hyperopia (range +7.25-+13.00 diopters; mean +9.88 diopters) and short axial length (range 17.55-19.28 mm; mean 18.13 mm). Twelve affected family members had angle-closure glaucoma or occludable anterior-chamber angles. Linkage analysis of a genome scan demonstrated highly significant evidence that nanophthalmos in this family is the result of a defect in a previously unidentified locus (NNO1) on chromosome 11. The gene was localized to a 14.7-cM interval between D11S905 and D11S987, with a maximum LOD score of 5. 92 at a recombination fraction of .00 for marker D11S903 and a multipoint maximum LOD score of 6.31 for marker D11S1313. NNO1 is the first human locus associated with nanophthalmos or with an angle-closure glaucoma phenotype, and the identification of the NNO1 locus is the first step toward the cloning of the gene. A cloned copy of the gene will enable examination of the relationship, if any, between nanophthalmos and less severe forms of hyperopia and between nanophthalmos and other conditions in which angle-closure glaucoma is a feature.

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Selected References

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  1. Azuma N., Nishina S., Yanagisawa H., Okuyama T., Yamada M. PAX6 missense mutation in isolated foveal hypoplasia. Nat Genet. 1996 Jun;13(2):141–142. doi: 10.1038/ng0696-141. [DOI] [PubMed] [Google Scholar]
  2. Belecky-Adams T., Tomarev S., Li H. S., Ploder L., McInnes R. R., Sundin O., Adler R. Pax-6, Prox 1, and Chx10 homeobox gene expression correlates with phenotypic fate of retinal precursor cells. Invest Ophthalmol Vis Sci. 1997 Jun;38(7):1293–1303. [PubMed] [Google Scholar]
  3. Bessant D. A., Khaliq S., Hameed A., Anwar K., Mehdi S. Q., Payne A. M., Bhattacharya S. S. A locus for autosomal recessive congenital microphthalmia maps to chromosome 14q32. Am J Hum Genet. 1998 May;62(5):1113–1116. doi: 10.1086/301843. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Boehnke M. Allele frequency estimation from data on relatives. Am J Hum Genet. 1991 Jan;48(1):22–25. [PMC free article] [PubMed] [Google Scholar]
  5. Brockhurst R. J. Nanophthalmos with uveal effusion: a new clinical entity. Trans Am Ophthalmol Soc. 1974;72:371–403. [PMC free article] [PubMed] [Google Scholar]
  6. Burmeister M., Novak J., Liang M. Y., Basu S., Ploder L., Hawes N. L., Vidgen D., Hoover F., Goldman D., Kalnins V. I. Ocular retardation mouse caused by Chx10 homeobox null allele: impaired retinal progenitor proliferation and bipolar cell differentiation. Nat Genet. 1996 Apr;12(4):376–384. doi: 10.1038/ng0496-376. [DOI] [PubMed] [Google Scholar]
  7. David T., Chauvaud D., Pouliquen Y. Nanophtalmie avec effusion uvéale. Bull Soc Ophtalmol Fr. 1990 Mar;90(3):263–265. [PubMed] [Google Scholar]
  8. Dib C., Fauré S., Fizames C., Samson D., Drouot N., Vignal A., Millasseau P., Marc S., Hazan J., Seboun E. A comprehensive genetic map of the human genome based on 5,264 microsatellites. Nature. 1996 Mar 14;380(6570):152–154. doi: 10.1038/380152a0. [DOI] [PubMed] [Google Scholar]
  9. Diehl D. L., Feldman F., Tanzer H., Shea M. Nanophthalmos in sisters, one with exfoliation syndrome. Can J Ophthalmol. 1989 Dec;24(7):327–330. [PubMed] [Google Scholar]
  10. François J., Goes F. Ultrasonographic study of 100 emmetropic eyes. Ophthalmologica. 1977;175(6):321–327. doi: 10.1159/000308676. [DOI] [PubMed] [Google Scholar]
  11. Freund C. L., Wang Q. L., Chen S., Muskat B. L., Wiles C. D., Sheffield V. C., Jacobson S. G., McInnes R. R., Zack D. J., Stone E. M. De novo mutations in the CRX homeobox gene associated with Leber congenital amaurosis. Nat Genet. 1998 Apr;18(4):311–312. doi: 10.1038/ng0498-311. [DOI] [PubMed] [Google Scholar]
  12. Furukawa T., Morrow E. M., Cepko C. L. Crx, a novel otx-like homeobox gene, shows photoreceptor-specific expression and regulates photoreceptor differentiation. Cell. 1997 Nov 14;91(4):531–541. doi: 10.1016/s0092-8674(00)80439-0. [DOI] [PubMed] [Google Scholar]
  13. Gladwin A., Donnai D., Metcalfe K., Schrander-Stumpel C., Brueton L., Verloes A., Aylsworth A., Toriello H., Winter R., Dixon M. Localization of a gene for oculodentodigital syndrome to human chromosome 6q22-q24. Hum Mol Genet. 1997 Jan;6(1):123–127. doi: 10.1093/hmg/6.1.123. [DOI] [PubMed] [Google Scholar]
  14. Glaser T., Jepeal L., Edwards J. G., Young S. R., Favor J., Maas R. L. PAX6 gene dosage effect in a family with congenital cataracts, aniridia, anophthalmia and central nervous system defects. Nat Genet. 1994 Aug;7(4):463–471. doi: 10.1038/ng0894-463. [DOI] [PubMed] [Google Scholar]
  15. Glaser T., Ton C. C., Mueller R., Petzl-Erler M. L., Oliver C., Nevin N. C., Housman D. E., Maas R. L. Absence of PAX6 gene mutations in Gillespie syndrome (partial aniridia, cerebellar ataxia, and mental retardation). Genomics. 1994 Jan 1;19(1):145–148. doi: 10.1006/geno.1994.1024. [DOI] [PubMed] [Google Scholar]
  16. Graw J. Genetic aspects of embryonic eye development in vertebrates. Dev Genet. 1996;18(3):181–197. doi: 10.1002/(SICI)1520-6408(1996)18:3<181::AID-DVG1>3.0.CO;2-5. [DOI] [PubMed] [Google Scholar]
  17. Hanson I. M., Fletcher J. M., Jordan T., Brown A., Taylor D., Adams R. J., Punnett H. H., van Heyningen V. Mutations at the PAX6 locus are found in heterogeneous anterior segment malformations including Peters' anomaly. Nat Genet. 1994 Feb;6(2):168–173. doi: 10.1038/ng0294-168. [DOI] [PubMed] [Google Scholar]
  18. Jordan T., Hanson I., Zaletayev D., Hodgson S., Prosser J., Seawright A., Hastie N., van Heyningen V. The human PAX6 gene is mutated in two patients with aniridia. Nat Genet. 1992 Aug;1(5):328–332. doi: 10.1038/ng0892-328. [DOI] [PubMed] [Google Scholar]
  19. Kimbrough R. L., Trempe C. S., Brockhurst R. J., Simmons R. J. Angle-closure glaucoma in nanophthalmos. Am J Ophthalmol. 1979 Sep;88(3 Pt 2):572–579. doi: 10.1016/0002-9394(79)90517-8. [DOI] [PubMed] [Google Scholar]
  20. LENZ W. Recessiv-geschlechtsgebundene Mikrophthalmie mit multiplen Missbildungen. Z Kinderheilkd. 1955;77(4):384–390. [PubMed] [Google Scholar]
  21. Lange K., Weeks D., Boehnke M. Programs for Pedigree Analysis: MENDEL, FISHER, and dGENE. Genet Epidemiol. 1988;5(6):471–472. doi: 10.1002/gepi.1370050611. [DOI] [PubMed] [Google Scholar]
  22. MORTON N. E. Sequential tests for the detection of linkage. Am J Hum Genet. 1955 Sep;7(3):277–318. [PMC free article] [PubMed] [Google Scholar]
  23. MacKay C. J., Shek M. S., Carr R. E., Yanuzzi L. A., Gouras P. Retinal degeneration with nanophthalmos, cystic macular degeneration, and angle closure glaucoma. A new recessive syndrome. Arch Ophthalmol. 1987 Mar;105(3):366–371. doi: 10.1001/archopht.1987.01060030086032. [DOI] [PubMed] [Google Scholar]
  24. Martorina M. Nanophtalmie familiale. J Fr Ophtalmol. 1988;11(4):357–361. [PubMed] [Google Scholar]
  25. Mirzayans F., Pearce W. G., MacDonald I. M., Walter M. A. Mutation of the PAX6 gene in patients with autosomal dominant keratitis. Am J Hum Genet. 1995 Sep;57(3):539–548. [PMC free article] [PubMed] [Google Scholar]
  26. Morissette J., Côté G., Anctil J. L., Plante M., Amyot M., Héon E., Trope G. E., Weissenbach J., Raymond V. A common gene for juvenile and adult-onset primary open-angle glaucomas confined on chromosome 1q. Am J Hum Genet. 1995 Jun;56(6):1431–1442. [PMC free article] [PubMed] [Google Scholar]
  27. Mullis K. B., Faloona F. A. Specific synthesis of DNA in vitro via a polymerase-catalyzed chain reaction. Methods Enzymol. 1987;155:335–350. doi: 10.1016/0076-6879(87)55023-6. [DOI] [PubMed] [Google Scholar]
  28. O'Connell J. R., Weeks D. E. The VITESSE algorithm for rapid exact multilocus linkage analysis via genotype set-recoding and fuzzy inheritance. Nat Genet. 1995 Dec;11(4):402–408. doi: 10.1038/ng1295-402. [DOI] [PubMed] [Google Scholar]
  29. Ogunye O. O., Murray R. F., Osgood T. Linkage studies in Lenz microphthalmia. Hum Hered. 1975;25(6):493–500. doi: 10.1159/000152765. [DOI] [PubMed] [Google Scholar]
  30. Richards J. E., Lichter P. R., Boehnke M., Uro J. L., Torrez D., Wong D., Johnson A. T. Mapping of a gene for autosomal dominant juvenile-onset open-angle glaucoma to chromosome Iq. Am J Hum Genet. 1994 Jan;54(1):62–70. [PMC free article] [PubMed] [Google Scholar]
  31. Sanyanusin P., Schimmenti L. A., McNoe L. A., Ward T. A., Pierpont M. E., Sullivan M. J., Dobyns W. B., Eccles M. R. Mutation of the PAX2 gene in a family with optic nerve colobomas, renal anomalies and vesicoureteral reflux. Nat Genet. 1995 Apr;9(4):358–364. doi: 10.1038/ng0495-358. [DOI] [PubMed] [Google Scholar]
  32. Schedl A., Ross A., Lee M., Engelkamp D., Rashbass P., van Heyningen V., Hastie N. D. Influence of PAX6 gene dosage on development: overexpression causes severe eye abnormalities. Cell. 1996 Jul 12;86(1):71–82. doi: 10.1016/s0092-8674(00)80078-1. [DOI] [PubMed] [Google Scholar]
  33. Sheffield V. C., Stone E. M., Alward W. L., Drack A. V., Johnson A. T., Streb L. M., Nichols B. E. Genetic linkage of familial open angle glaucoma to chromosome 1q21-q31. Nat Genet. 1993 May;4(1):47–50. doi: 10.1038/ng0593-47. [DOI] [PubMed] [Google Scholar]
  34. Shiono T., Shoji A., Mutoh T., Tamai M. Abnormal sclerocytes in nanophthalmos. Graefes Arch Clin Exp Ophthalmol. 1992;230(4):348–351. doi: 10.1007/BF00165943. [DOI] [PubMed] [Google Scholar]
  35. Singh O. S., Simmons R. J., Brockhurst R. J., Trempe C. L. Nanophthalmos: a perspective on identification and therapy. Ophthalmology. 1982 Sep;89(9):1006–1012. [PubMed] [Google Scholar]
  36. Stoilova D., Child A., Trifan O. C., Crick R. P., Coakes R. L., Sarfarazi M. Localization of a locus (GLC1B) for adult-onset primary open angle glaucoma to the 2cen-q13 region. Genomics. 1996 Aug 15;36(1):142–150. doi: 10.1006/geno.1996.0434. [DOI] [PubMed] [Google Scholar]
  37. Tang H. K., Singh S., Saunders G. F. Dissection of the transactivation function of the transcription factor encoded by the eye developmental gene PAX6. J Biol Chem. 1998 Mar 27;273(13):7210–7221. doi: 10.1074/jbc.273.13.7210. [DOI] [PubMed] [Google Scholar]
  38. Tomarev S. I. Pax-6, eyes absent, and Prox 1 in eye development. Int J Dev Biol. 1997 Dec;41(6):835–842. [PubMed] [Google Scholar]
  39. Trifan O. C., Traboulsi E. I., Stoilova D., Alozie I., Nguyen R., Raja S., Sarfarazi M. A third locus (GLC1D) for adult-onset primary open-angle glaucoma maps to the 8q23 region. Am J Ophthalmol. 1998 Jul;126(1):17–28. doi: 10.1016/s0002-9394(98)00073-7. [DOI] [PubMed] [Google Scholar]
  40. Vingolo E. M., Steindl K., Forte R., Zompatori L., Iannaccone A., Sciarra A., Del Porto G., Pannarale M. R. Autosomal dominant simple microphthalmos. J Med Genet. 1994 Sep;31(9):721–725. doi: 10.1136/jmg.31.9.721. [DOI] [PMC free article] [PubMed] [Google Scholar]
  41. Weiss A. H., Kousseff B. G., Ross E. A., Longbottom J. Simple microphthalmos. Arch Ophthalmol. 1989 Nov;107(11):1625–1630. doi: 10.1001/archopht.1989.01070020703032. [DOI] [PubMed] [Google Scholar]
  42. Wirtz M. K., Samples J. R., Kramer P. L., Rust K., Topinka J. R., Yount J., Koler R. D., Acott T. S. Mapping a gene for adult-onset primary open-angle glaucoma to chromosome 3q. Am J Hum Genet. 1997 Feb;60(2):296–304. [PMC free article] [PubMed] [Google Scholar]
  43. Yue B. Y., Kurosawa A., Duvall J., Goldberg M. F., Tso M. O., Sugar J. Nanophthalmic sclera. Fibronectin studies. Ophthalmology. 1988 Jan;95(1):56–60. doi: 10.1016/s0161-6420(88)33215-x. [DOI] [PubMed] [Google Scholar]

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